Whether consumers scrutinize their images in selfies, on social media or in the rear view mirror, they are more inclined than ever to rid their faces and cleavage warning signs that time is not on their side. This desire to fight against aesthetic aging is accompanied by a growing demand for notable aesthetic results, without downtime, without drugs, without foreign substances or surgery.
The result is an increase in the number of energy-based devices aimed at tightening, firming and firming the face and neck, reducing wrinkles, and encouraging collagen production.
Global statistics show that the demand for minimally inverted, energy-based cosmetic surgery is widespread. RealSelf, a global online community for consumers looking for cosmetic procedures, reports that facial lasers are gaining ground, according to RealSelf’s US Laser and Energy Report published in July 2018. This report showed that l consumer interest in treatments using laser and energy-based devices increased 10.5% in 2017 compared to the previous year.
The power and dynamism of energy-based facial rejuvenation is more than hype. Today’s improved safety and efficacy make these options viable for a larger patient base, the researchers reported in a journal published in 2017 in JAMA Facial Plastic Surgery1.
According to JAMA articles, non-surgical facial rejuvenation technology has developed rapidly over the past five years. The main objective of this technology is to rebalance with minimal risk and downtime with optimized results.1
In addition, non-surgical skin tightening is better suited for patients with mild skin laxity or moderate and photoaging, or extrinsic aging, without significant underlying structural ptosis.1
In this regard, it is important that physicians using current energy technologies clearly explain to patients what devices can or cannot do, said Koenraad De Boulle, MD, dermatologist and director of a dermatology and dermis surgery clinic in Brussels. , Belgium.
“Lasers, for example, can tighten the skin, reduce wrinkles, and encourage collagen formation, but they cannot lift the skin,” said Dr. De Boulle.
Technically, the real lifting of the skin is a vertical lifting, which classic lifting does. The tightening resulting from energy-based technologies is happening in all directions. For patients who need a facelift, energy-based technologies can play a complementary role, improving the overall results of surgical procedures, he said.
Jennifer Walden, MD, plastic surgeon practicing in Austin, Texas, and medspa in New York, NY, compares the rapidly changing landscape of energy treatments for facial rejuvenation to that of adipose tissue shaping and reduction devices. .
“Each year we have improved the modalities, better outcomes and an improvement in pain associated with these procedures,” said Dr. Walden.
While the results obtained with energy-based devices are less spectacular than those obtained in surgery, Bettina Rümmelein, MD, dermatologist who practices at the House of Skin and Laser, in Zurich, in Switzerland, and trains doctors to use the laser for cosmetic purposes, said demand was high because patients tend to prefer non-invasive treatments and are willing to accept limited results.
For optimal results, Dr. Rümmelein often uses combination devices.
“Different devices reach different layers of the skin. They all have their own characteristics and stimulate the skin in different ways, ”she said.
For firming facial skin, Dr. Walden prefers the erbium or fractional CO2 laser, which she says tightens well with minimal downtime.
Likewise, Sabrina Fabi, MD, cosmetic dermatologist and clinical assistant professor at the University of California at San Diego (San Diego, California), said that the gold standard of skin tightening face remains the fully ablative CO2 laser.
Dr. Fabi, who uses Lumenis’ UltraPulse (San José, California), said studies show that CO2 treatment can cause skin contractions by up to 40% by vaporizing tissue and by delivering heat to stimulate the production of new collagen. Specifically, UltraPulse can penetrate deeper than many other ablative CO2 lasers, providing the versatility to make it an option for everyday procedures, as well as for thick and complex lesions.
“No other device really vaporizes the tissue,” added Dr. Fabi. “I think UltraPulse is the most powerful CO2 laser in cosmetic medicine. As such, it is an ideal option for Californian patients who tend to have a lot of static wrinkles and infraorbital pancakes, sagging skin that needs to firm up. “
Dr. Rümmelein said that the Lutronic CO2 eCO2 fractional laser (Boston, Massachusetts, United States), combined with platelet rich plasma (PRP), is part of his benchmark approaches to reduction of facial wrinkles, reduction and creation of collagen. She also uses a combined approach when treating only the eye area.
“I use laser-assisted photodynamic therapy (PDT) with eCO2,” said Dr. Rümmelein, who has more than